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CA2463643A1 - Aortic artery aneurysm endovascular prosthesis - Google Patents

Aortic artery aneurysm endovascular prosthesis Download PDF

Info

Publication number
CA2463643A1
CA2463643A1 CA002463643A CA2463643A CA2463643A1 CA 2463643 A1 CA2463643 A1 CA 2463643A1 CA 002463643 A CA002463643 A CA 002463643A CA 2463643 A CA2463643 A CA 2463643A CA 2463643 A1 CA2463643 A1 CA 2463643A1
Authority
CA
Canada
Prior art keywords
prosthesis
pocket
agent
tubular member
outer covering
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002463643A
Other languages
French (fr)
Other versions
CA2463643C (en
Inventor
John E. Sherry
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Boston Scientific Ltd Bermuda
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2463643A1 publication Critical patent/CA2463643A1/en
Application granted granted Critical
Publication of CA2463643C publication Critical patent/CA2463643C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2002/065—Y-shaped blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A61F2002/075—Stent-grafts the stent being loosely attached to the graft material, e.g. by stitching
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0028—Shapes in the form of latin or greek characters
    • A61F2230/0054—V-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0003—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having an inflatable pocket filled with fluid, e.g. liquid or gas

Landscapes

  • Health & Medical Sciences (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Medicines Containing Plant Substances (AREA)
  • Cosmetics (AREA)

Abstract

A tubular prosthesis (10) is provided which includes a tubular (12) member a nd an outer covering sealed (14) to portions of the tubular member, with a pock et (16) being defined therebetween. A filling agent (18), preferably a substantially incompressible agent, is disposed in the pocket so as to cause portions of the outer covering to expand from the tubular member. As an endovascular prosthesis, the filled pocket can be used as a seal against the wall of a blood vessel to prevent Type I endoleaks.

Claims (35)

1. A tubular prosthesis comprising:
a tubular member, and an outer covering sealed to portions of said tubular member, a pocket being defined between said tubular member and said outer covering to accommodate a pre-determined agent, said outer covering being impervious to said pre-determined agent.
2. A prosthesis as in claim 1, wherein said tubular member is a graft.
3. A prosthesis as in claim 1, wherein said tubular member is a stent/graft combination.
4. A prosthesis as in claim 3, wherein said stent is expandable.
5. A prosthesis as in claim 4, wherein said stent is self-expanding.
6. A prosthesis as in claim 1, wherein said outer covering is pervious to a therapeutic agent disposed in said pocket.
7. A prosthesis as in claim 1, wherein said tubular member is impervious to said pre-determined agent.
8. A prosthesis as in claim 1, wherein said pre-determined agent is substantially incompressible.
9. A prosthesis as in claim 1, wherein said pre-determined agent is a fluid.
10. A prosthesis as in claim 1, wherein said pre-determined agent is in a semisolid state.
11. A prosthesis as in claim 1, wherein said pocket is expandable.
12. A prosthesis as in claim 11, wherein said outer covering is formed of a stretchable material.
13. A prosthesis as in claim 11, wherein said outer covering is pleated about said pocket.
14. A prosthesis as in claim 1, further comprising a fluid conduit in fluid communication with said pocket.
15. A prosthesis as in claim 14, wherein said fluid conduit is in fluid communication with said pocket via a channel.
16. A prosthesis as in claim 1, wherein said tubular member has a first end, said pocket being located in proximity to said first end.
17. A prosthesis as in claim 1, wherein said pocket is annular shaped.
18. A prosthesis as in claim 1, wherein said prosthesis is an endovascular prosthesis.
19. A tubular prosthesis comprising:
a tubular member;

an outer covering sealed to portions of said tubular member, a pocket being defined between said tubular member and said outer covering; and a filling agent disposed in said pocket.
20. A prosthesis as in claim 19, wherein said agent is substantially incompressible.
21. A prosthesis as in claim 19, wherein said agent is a liquid.
22. A prosthesis as in claim 19, wherein said agent is in a semisolid state.
23. A prosthesis as in claim 19, wherein said agent substantially fills said pocket.
24. A prosthesis as in claim 19, wherein said pocket is at least partially filled by said agent such that at least portions of said outer covering extend from said tubular member.
25. A prosthesis as in claim 19, wherein said pocket is sufficiently filled with said agent to at least partially contiguously contact a wall of a blood vessel.
26. A prosthesis as in claim 19, wherein said pocket is annular shaped.
27. A prosthesis as in claim 19, wherein said pocket is helical.
28. A prosthesis as in claim 19, wherein said agent is selected from the group consisting of hydrogels, moisture activated urethanes, and cyanoacrylates.
29. A method of treating an aneurysm, the method comprising the steps of:
implanting endovascularly an endovascular prosthesis including a tubular member, and an outer covering sealed to portions of said tubular member, a pocket being defined between said tubular member and said outer covering; and conveying an amount of filling agent into said pocket, said amount being sufficient to at least partially fill said pocket such that said pocket is in at least partial contiguous contact with a wall of blood vessel in proximity to the aneurysm.
30. A method as in claim 29, wherein said filling agent is conveyed in liquid form.
31. A method as in claim 29, wherein the step of conveying is after the step of implanting.
32. A method as in claim 29, further comprising the step of placing a fluid conduit into fluid communication with said pocket.
33. A method as in claim 32, wherein the step of conveying includes conveying said filling agent via said fluid conduit.
34. A method as in claim 32, wherein the step of placing is before the step of implanting.
35. A method as in claim 29, wherein said filling agent is selected from the group consisting of hydrogels, moisture activated urethanes, and cyanoacrylates.
CA2463643A 2001-10-16 2002-09-26 Aortic artery aneurysm endovascular prosthesis Expired - Fee Related CA2463643C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US09/978,383 2001-10-16
US09/978,383 US7192441B2 (en) 2001-10-16 2001-10-16 Aortic artery aneurysm endovascular prosthesis
PCT/US2002/030696 WO2003032869A1 (en) 2001-10-16 2002-09-26 Aortic artery aneurysm endovascular prosthesis

Publications (2)

Publication Number Publication Date
CA2463643A1 true CA2463643A1 (en) 2003-04-24
CA2463643C CA2463643C (en) 2011-08-02

Family

ID=25526038

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2463643A Expired - Fee Related CA2463643C (en) 2001-10-16 2002-09-26 Aortic artery aneurysm endovascular prosthesis

Country Status (8)

Country Link
US (1) US7192441B2 (en)
EP (1) EP1435875B1 (en)
JP (1) JP4294480B2 (en)
AT (1) ATE413149T1 (en)
CA (1) CA2463643C (en)
DE (1) DE60229762D1 (en)
ES (1) ES2316617T3 (en)
WO (1) WO2003032869A1 (en)

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ATE413149T1 (en) 2008-11-15
EP1435875A1 (en) 2004-07-14
JP2005505380A (en) 2005-02-24
WO2003032869A1 (en) 2003-04-24
US20030074058A1 (en) 2003-04-17
CA2463643C (en) 2011-08-02
EP1435875B1 (en) 2008-11-05
DE60229762D1 (en) 2008-12-18
ES2316617T3 (en) 2009-04-16
JP4294480B2 (en) 2009-07-15

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